22
Patient Interviewing and Assessment
JOANNE HEBDING
NOTE: This chapter corresponds to Chapter 28 in Fundamentals of Sleep Technology, 2nd edition.
1. The history and physical portion of the patient’s chart includes:
A. A list of current medications
B. Insurance information
C. Method of payment
D. Preapproval by the insurer
2. The facility orientation typically includes:
A. Showing the patient the control room
B. Introducing the patient to other patients being tested that night
C. Showing the patient the bathroom
D. A discussion of treatment alternatives
3. An appropriate strategy for patients with mental disorders and special emotional needs is to:
A. Be firm and brusque and do not spend extra time with the patient
B. Challenge their viewpoints with logical arguments
C. Be calm and do not argue
D. Mirror their behavior—if they get angry, return their anger
4. Patients with special physical needs:
A. Cannot be studied in the sleep center
B. Usually require more than one technologist for the sleep study
C. May require modified placement of electrodes
D. Typically have difficulties with language and unwillingness to learn
5. An elderly patient who functions normally during the day but becomes confused and agitated at night may be suffering from:
A. Twilight zone
B. Paradoxical insomnia
C. Wernicke encephalopathy
D. Sundowning
6. Prior to the start of the sleep study, the physician calls the technologist and asks that his patient have temporal EEG leads and arm and leg EMG monitors added to the physician orders. The technologist should:
A. Document the order with date and time and ask the physician to sign it the next day
B. Refuse to make the change because the orders make no sense
C. Cancel the study and ask the patient to return on another day when the orders have been changed
D. Follow the order but lodge a complaint with the center supervisor
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